Laparoscopic appendectomy versus open appendectomy: A randomized prospective comparative study.
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Date
2016
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Abstract
Introduction: Laparoscopic Appendectomy confers advantages to the patient in terms of fewer wound
infections, less pain, faster recovery and earlier return to work. The aim of this study was to evaluate and
compare advantages and disadvantages between laparoscopic Appendectomy and open Appendectomy
in general surgical practices.
Materials and methods: A two year randomized, prospective comparative study of Laparoscopic
Appendectomy versus Open Appendectomy was done in the Department of Surgery, M.G.M medical
college & L.S.K. hospital, Kishanganj, Bihar. SPSS software was used for data analysis. Chisquare test
was applied.
Results: Wound infections in LA group was 9% and OA group was 20%. Intra- abdominal abscess in
LA group was 9% and OA group 1.8%. Adhesive ileus in LA group was 4.5% and OA group was 1.7%.
Caecal leak was seen only in LA group. Pneumonia was not reported in both the groups. Operation time
in LA group was 60 mins and OA group was 30mins. Duration of Hospital stay in LA group was 3 days
and OA group was 5 days. Mean duration of return to normal activity in LA group was 5.4 days and OA
group was 7.1 days. Mean duration of return to heavy work was 12.2 days in LA group and OA group
was 16.8 days.
Conclusion: Laparoscopic Appendectomy was found to be both feasible and safe in comparison with
open Appendectomy.
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Keywords
Laparoscopic appendectomy, open appendectomy
Citation
Rawat Abhishek, Nigam Dharmendra Kumar. Laparoscopic appendectomy versus open appendectomy: A randomized prospective comparative study. National Journal of Medical and Allied Sciences. 2016; 5(2): 103-108.